| NW 88326

Assassination Records Review Board
Final Determination Notification

AGENCY : HSCA
RECORD NUMBER : 180-10070-10163
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

December 8, 1995
Status of Document: Postponed in Part

Number of releases of previously postponed information: 11

Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual. |

; Number of Postponements: 9

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

| Docld:32244105 Page 1.

Date:08/20/93
Page:1
JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY. : HSCA
RECORD NUMBER : 180-10070-10163

RECORDS SERIES
STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

ORIGINATOR ;:
FROM 3:
TO ;:

TITLE :

DATE
PAGES

01/01/77
1.

_ SUBJECTS :
HSCA; ADMINISTRATION
TAYLOR, ANN FURNALD

DOCUMENT TYPE : PRINTED FORM

CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS : P

DATE OF LAST REVIEW : 07/16/93

OPENING CRITERIA

COMMENTS
Box 3.

(R] - ITEM IS RESTRICTED

| NW 88326
| Docld:32244105 Page 2

TAYLOR, Ann ~ OFFICE OF THE CLERK ee
U.S, HOUSE OF REPRESENTATIVES = CALANCE QNOUSHT

FORWARO FROM

ee eeand

Name of Emaloyee

Annual
Leave

gg ' PERSONAL LEAVE RECORD . 0 HREENGIVENS

ita

6 mcmrchiansateit necteunpweamnenameratamatee . NEE en ane eaaneeermmeatinteteheeenaamented : ‘ : . . a 4 m2
Adress, . . : oe i : Co YEAR
oO a “ANNUAL LEAVE © Se me ‘4
: DATE OF APPOINTMENT . an sos 3
Phone Number 9 CATEGORY Co |
_ . 1.0 oO . ’ 7
. Position Title - : a ; , !
o PRIOR FEGERAL SERVICE 15. : |
: . BALANCE
decrements | nae oe cette aoa ann A eeecertreenperens nl ne etn Rh abeceersesseee Oaeanececesasen . ACCRUED AVAILADLE usto w
Position Number . Level Co See Years Months 2.0 Oi eels towta THIS MONTH. | Tins MonTH | | Ay SLGSE Ee
: - - eeecememnemne ermine | 1 i
DAY OF MONTH  - ; . Sf : ick | Annual Sick Annual Sick Anaual Sick zz
TS dey 17 L181 19] 201 att 2: $ 5 Leave Leave Leave | Leave Leave Leave

eee

‘xz 0.5 day annual leave _ a . 7 a a . : _ CERTIFIED CORRECT: 7
z= 4,0 day annual leave a - ; . ; oo oo

2 0.5 day sick leave

eee renee neenincnrtetenen nineteen cen D — ceeereeeeinnnennntt
= 1.0 day sick leave | So : Employee's Signature Oo Dute , _ . Chiel's Signature : 7 Bate
(if employee refuses to siga, state reason below.? a so .

zs 0.5 day administrative leave _

t [x |= 1.0 day administrative leave a So Approved: en cerns eee
‘ : : oe Clerk of the House . "Data

. == 0.5 doy unauthorized absenc - oe 7 ape Seeererr ane a fraying
ne BOY werpseraeizggr eoeeneg >. This record. will be ferwarded to the Clerk of the House at the end of cach cafendar year, of in case of termination, along
or y= 1.0 day unauthorized absence | . a : with the request for termination, Upon approval, the record will be filed in the employee's official personne! folders. ; ;

os 0.5 day leave without pay |

mz 1.0 day leave without pay

paste beis sentence sma esrormmae ven ne nteneaen emmaceenessucearn nme mmerons od daha ae es

Wi:37244105 Page 3

or:

+i employee is a civil service annuitant (includes U.S: House of Representatives), the gross annual salary shown should include the annuity received by the employee

Eee SO ——— — ” Ne an

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter. io) U.S. HOUSE OF nconesenrarives) (Any erasures, corrections, or changes

. = on this form must be initialed by the
or Ballpoint Pen) - ‘Washington, D.C. 20515 authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

- Employee Name (First-Middle-Last) = =~

Ann Furnald Tayler

— Effective Date

Juiy 15, 1978

SRL SWAY TA OPPO TRIE VE RE: SMT FEN? OF EPTES Ck RO ERT IED

1
. Employee Social Security Number Type of Action fo
a |
, O Appointment a4 \
O) Salary Adjustment G |
Employing Office or Committee /Subcommittee 1 Title Change i |
2 Termination (At close of business on effective date) : 3
Assassinations C) Leave without pay (Beginning with effective date above and ending | ° : 4
close of business. = ) :
Specify Date A
.

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title ; Gross Annual Salary *
kesearcher
plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1.0 Standing Committee: Staff—O] Clerical or L) Professional.

3. oO Joint Committee.

»

t
Y
AQ

(If Employee of an Officer of the House, complete item below.)

aT he RA ef oe aaa a LA Miva a dutta oka de on

Position Number__- If applicable, Level

nant ae

| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.

wees abet

af
duly 28, 73 A
Date.____ es VW 4
(Signature of Authorizing Official) 2
Loges Stee -
a a a a ee ee ee a ae i ee ee eee ee ee ce a nn ee a a ae ae ae ae ee ee —— eee ee a
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member) (Type or print name of- ‘Authorizing Official) a
Chai rman 7
a a a a oe ee en ee ea a ea i em ee ee ee 4g
(Type or print name and title of above official) (Title - If Member, District and State) 4
me ee ee ee em a nH ee ee a ee ee ee ee ee ee ee _ 3 4
4 ia
. All appointments and salary adjustments for employees under the House Classification Act-and for Committee em- ‘y <
: ployees, except those of the Committee on Appropriations, the Committee on the Budget, dnd the Joint Committees, must ~ a \
be approved by the Committee on House Administration. — : ’ _ {
| a |
APPROVED: 4 |
{
Office of Finance use only: F
Office Code.___________ i
i
a
- . . (Revised: August !, 977)
. Copy: for Initiating Office or Committee Ct rs Pog

036-234-9187 7

W 88326 Be ee

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter AF U.S. HOUSE OF REPRESENTATIVE) (Any erasures, corrections, or changes

. : on this form must he initialed by the
or Ballpoint Pen) Washington, D.C. 20515 authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last) Effective Date

Aan Furnald Taylor . July 1, 1978

Employee Social Security Number Type of Action

rad
gs

wld
kag

eno

te AL aa aa te ed a ea te tee Te

Ww

Appointment
0) Salary Adjustment
O Title Change

1 Termination (At close of business on effective date)

o

Employing Office or Committee/Subcommittee

0 Leave without pay (Beginning with effective date above and ending |

close of business

Position Title

. ene . j
. Researcher a

* if employee is a civil service annuitant (includes U.S. House of Representatives), thie gross annual salary shown should include: the annuity received by the employee

plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1. O Standing Committee: Staff—O] Clerical or O Professional. .

2. [4] Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res. 956 _ of SAENCongress.

3. 0 Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number If applicable, Level_

| certify that this authorization is not: in. violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives. ,

(Signature of Authorizing Official)

. | LOUIS STOKES

x ; CHATREAN

(Type or print name and title of above official) (Title - If Member, District and State)

(Type or print name of Authorizing Official)

All.appointments and salary adjustments for employees under the House Classification Act-and for Committee .em-

_ Ployees, except. those of the Committee on Appropriations, the Committee -on the Budget, .and the Joint -Committees,. must

be approved by the Committee on House Administration. . DG

APPROVED:.

Chairman, Committee on House Administration

_ Office of Finance use only:
Office Code

Benefits________-»_...__ _

Monthly Annuity § UC ; : Payroll

Wi:37244105 Page 5

aba

(Revised: August 1, 1977),

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PAYROLL AUTHORIZATION FORM
_ (Please Use Typewriter V4 U.S. HOUSE OF aepresenrarived_) (Any erasures, corrections, or changes

or Ballpoint Pen) _ . Washington, D.C. 20515 authorizing -official.}

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last) | - Effective Date

fan Fernald Taylor June 30, 1978

Employee Social Security Number oe _ Type of Action 7 ;

1 Appointment ,
O) Salary Adjustment
O Title Change

sa
Termination (Ai_close of business on effective date)

O38—34=94 37
Employing Office or Committee/Subcommittee

C1 Leave without pay (Beginning with effective date above and ending

close of business

Gross Annual Salary*

* |f emoloyee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee

. plus the salary received from the employing office.

(if Committee Employee, complete appropriate item below.)

1. 0 en Committee: Staff—O] Clerical or 0 Professional.

3. 0 Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number If applicable, Level_

Step___

| certify that this ‘authorization is. not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.

daly 7 78
Date. a
a (Signature.of.. Authorizing Official}
LOUIS STOKES, CHADIAN
(if appropriate, signature of Subcommittee Chairman or Ranking Minority Member) —=~=~S~~S*S*~S*S*S*S*S*S:S*S type ov priv nome of Authorizing Offa)’
~~" Type or print name and title of above official) SSS a Title= If Member, Districtand State) SSS _

-. All appointments and salary adjustments for employees under-the House-Classification Act and for Committee em- ~* - -”

ployees, except those of the Committee on Appropriations, the Committee -on the Budget, and the Joint-Committees, must
be approved by the Committee on House Administration. -

APPROVED:

"Chairman, Committee on House Administration

Office of Finance use only:

Office Code

(Revised: August 1, 1977)

on this form must be initialed by the -

a a er we
Mies alten ae) Clee ee Cie ba

Copy for Initiating Office or Committees. 8 0 ee DE pe as

1
!
i
t
i
I
\

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PCR TONE Tea Ce SP ETeT

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tr a os
caok aha eA ae nh KN i Mele

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PAYROLL AUTHORIZATION FORM.

- . {Please Use Typewriter -- US. HOUSE OF REPRESENTATIVES: » (Any erasures, corrections, or. changes oy

Washington, 0:C.20515 = . - on this form must be initialed by the

or Ballpoint Pen) authorizing official.)

To the Clerk of the House of Representatives: .

| hereby authorize the following payroll action:

~ Employee Name (First-Middle-Last) _ oe, Effective Date

Ane . Furnald Tayler December i 1947

Employee Social Security Number : ——_ Type of Action . .

036—24-91 87 O Appointment

___{8E) Salary Adjustment
-, . Employing Office or Committee/Subcommittee = - ‘| Cl Title Change —
a, ; O) Termination (At close of business on effective date)
: fssass} nations . C Leave without pay (Beginning with effective date above and ending

close of business
Specify Date

(If type-of action: is an. Appointment, Salary Adjustment;. or Title Change, complete appropriate information below.)

Position Title Gross Annual Salary*

~ _Resaercher $19,200

 * Af emoloyee i is a civil service annuitant (includes U.S. House of: Representatives), the gross annual salary shown should include the annuity received by the employee - °
plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1. oO Standing Committee: Staff—O Clerical or O Professional.

2. Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res.83 of 23 téongress.
: 3. 0) Joint Committee.

(If Employee of an Officer of the House, complete item below.)

If applicable, Level

Position Number

relatives.

All appointments and salary. adjustments for employees under the House Classification Act and for-Committee em-

_- ployees, except those of the Committee-on Appropriations, the.Committee on.the Budget, and the Joint Committees, ‘must

eb

=

be approved by the Committee on House Administration.

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:
Office Code

(Revised: August 1, 1977)

88326 ee
1d:32244105 Page T :

{1 certify .that this. authorization. is not in violation: of 5 U.S.C. 311000), prohibiting the employment of -

ae

——

|

PAYROLL. AUTHORIZATION. FORM. -. “

(Please Usé Typewriter. :° ‘Uz S. HOUSE: OF. REPRESENTATIVES © = (Any erasures, ‘corrections, or-changes. ~..-

a vet Dy a, - on this form.must be initialed by the
or Ballpoint Pen) ‘Washington, D.C..20515 -- authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following: payroll action:

- Employee Name (First-Middle-Last) Effective Date -
Ann Furnald Taylor ~ S/1/7?
‘Employee Social SecurityNumber ~- ~— ° -|--  ~. “+... Type of Action

036-534-9187

[-] Appointment

Employing Office or Committee. ** Solory Adjustment

Assassinations (_] Termination (At close of business on effective date)

(If type of action is an Appointment or Salary Adjustment, complete the following information.)

Position Title . Gross Annual Salary

senior Researcher

(If Committee Employee, complete appropriate item.below.)

1) Standing Committee: Staff—-[-] Clerical or [_] Professional.

2. LX] Special or Select Committee: Authority ~H. Res... 458 : _of8Bth.-Congress.

3. Cl Joint Committee.

— (If Employee-of an: Officer-of the House, complete item below).

Position Number Wot al applicable, Level_

relatives. .

ee *"(Signdture of Authorizing Official)

~ Ours STOKES -

4]

L..certify that this.-authorization -is.. not. in’.violation of « ss USE: SHO}, Prohibiting the. employment .of .. >.

.All-appointments-and: salary. adjustments:for employees -under.the. House Classification Act-and-for Committee em-. -

___ APPROVED:

Chairman, Committee on House Administration. °

Office of Finance:use-.only:: 2. ere. ee

Office Code

88326 ee
Wi:37244105 Page 6 : .

a iployecs, -except,those ‘of the. .Committee.on ‘Appropriations, 1 the Committee on. the: Budget, and: the -Joint- Committees;imust-- *
’ be approved.by the Committee -on.House Administration: . a es rae toes

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7

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SB sthacate ade: Alan ae Pa scene al ae Aa aa a ht tess a rec ee Btn intent lao Flea tiie teal caalite Semnaas altel ae ai betula WAL Lele Be toa eae ied ae ne Det Nt a ret stl So alse atbibaile, nundbinticns Sor? natannte untenable dt Liana iN cabas cab Scie ats te inet Ah S alt fais cale lta ctinds euininsealabed oils eeattiesdetct Be atl Beside cutest Saban aE es Sa aenlan a nic

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/

— OO ee ———

PAYROLL AUTHORIZATION FORM

- (Please Use Typewriter oor US. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes -
or Ballpoint Pen) Washington, D.C. 20515 an this form must 7 initialed by the

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last) _. _ Effective Date
Ann Furnaid Taylor | SfUAT7

Employee Social Security Number:
836 34 91387

~ Type of Action

[_] Appointment

Employing Office or Committee — - J Salary Adjustment

[} Termination (At close of business on effective date)

Assassinations

(If type of actions an Appointment or Salary Adjustment, complete the following information.)

Position Title “Gross Annual [Salary

$17,000

Sate he, ek et cee ae Se at a aways Mee der yey ae ak ee a ren
sabe pa) he MM tide white bos nee te Stat Sy i a i sd adaseces et taped ak

(If | Committee Employee, complete appropriate item below.)

1. (J Standing Committee: Staff—[_] Clerical or [] Professional. i
2. &3] Special or Select Committee: Authority —H. Res, 468 of 85£8 Congress. \
\
3. [| Joint Committee.
-(If Employee of an Officer of the House, complete item below.) - pote
Position Number___. If applicable, Levels Step__
| certify that. this authorization is not- in: violation of. -5 U.S.C: 3 10(b), “prohibiting ‘the employment of
relatives. ees tn ; - cee
Date. May 10 | 19_77_ -
en - {Signature of Authorizing Official)
touts Stokes
ee (Type or print name of Authorizing Official)
en. Chairman _
{Title— If Member, District and State)
Tt tt reer SS SS AN “ame me esi mm mak mrs mS ne ee rae ee ne ey em ee ee ee —_ 4
4
- All appointments: and:salary-adjustments-for: employee's vunder: the House ‘Classification Act-and for Committee em- Ss
. ployees; except :fhose of. the Committee onAppropriations, the Committee on the: Budget, ‘and 1 the: Joint’ ‘Committees, must \
be approved by the Committee. on House Administration. . Boe 8 ns pe es es
|

68326 pe [on re

|hw

APPROVED:

Office of Finance use.only:.

Office Code

Copy for initiating Office or Committee

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Wi:37244105 Page 9 i . : ;

PAYROLL AUTHORIZATION FORM a a

-s.(Please Use'Typewriter: ~~ ” “b: S: HOUSE: OF REPRESENTATIVES vues (Any erasures, corrections, or-changes -~
~or Ballpoint: Pen) Washington, D.C. 20515 ~ .- on this form must be initialed by the -

| authorizing official.) . q
: To the Clerk of the House of Representatives:) © - 82 4

_ | hereby authorize the following payroll.action:

_ = Employee Name (First- Middle-Last) . | nt a a Effective Date
Ann Furnatd Taylor — 4/77

“Employee Social. Security Number. - a pee = Type of Action”

036 34 9187

C] Appointment
Employing Office or Committee : Salary Adjustment

 Assassi nations (_] Termination (At close of business on effective date)

(If type of action is an Appointment or Salary Adjustment, complete.the following information.)

Position Title | | Gross Annual Salary

$36,100

(If Committee Employee, complete appropriate item below.) ::'

1. L.] Standing Committee: Staff—[] Clerical or [7] Professional.

a Se Cie ge A gh tg Re ee a el, Sin Cosh lesteate dee
Sr sclbatitln tect eisai ail MEE Seal eta c ete Meat PARSE Se clad Sestak iat tt ea ee lak gahtcs aie’

2. L4 Special or Select Committee: Authority—H. Res._: _ AGS of 98ER Congress.

3. [_] Joint Committee.

-..(If Employee of an Officer of the House, complete item‘below.) 8

eB te EAE Le ald

pabiaty

Position Number _.If applicable, Level_

| certify that this authorization -is~ not in. ‘violation ~§ .ULS.C.- 31:10(b);:-prohibiting the--employment- of.

relatives. Ok.
epee a eek woot

Shere emer pment

é ae
So ee

(Signature of Authorizing Official) :

Aout s Stokes

(Type or print nome of Authorizing Official)

Chairman

SAL, aad unbettuna aS asd hs

All. appointments. and ‘salary adjustments for employees under:the House” ‘Classification. Act: and for Committee “ém-*
-.ployees;-except -those’-of -the-Gommittee on-Appropriations;- the Committeeon. ‘the: Budget, and the Joint: Committees;"must
be-approved by the: Committee on:House Administration.: rr rae ere vs Soh ee yee

APPROVED: .__:

-Chairman, Committee’ on House Administration

palistanat uli ib Abela eA RL altel Bites Mlaaiatab 6 eS aint oe AEE Mews

Office of Finance use:only: -

. Office Code

deewte.

: rr : eee tt
| Eines distor ae De alle

W 88326 FO re ee
ocld:32244105 Page 10 ‘ vo : -


PAYROLL AUTHORIZATION FORM. St . eo - a
(Please Use: Typewriter © >» > US. HOUSE: OF: REPRESENTATIVES. “+> (Any erasures, corrections, or-changes -:
: Washington, D.C. 20515 |-° this form must be initialed: by the

or Ballpoint Pen) ~ authorizing official.)

To the Clerk of the House of Representatives: |

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last)>. — aa ~ _ oS Effective Date
Aan Furnald Taylor

7 Employee Social Security Number~ a —_ _ = a } | Type: of Action
036+ 34-9187

(] Appointment
Employing Office or Committee , Cl'Salary Adjustment

Select Committee on As sass inations [] Termination (At close of business on effective date}

_ . (If type of action is an Appointment.or Salary Adjustment, complete the following information.) .

Position Title — Gross Annual Salary

$10,455.

(If Committee Employee, complete appropriate item below.)

set end SA Ae ite atte ahd Sida agit bette Su ee Sa Oh Be tage ae Eu Eh i, dialled ond ea ee AR Ce Lae cn be

1. [-] Standing Committee: Staff—[[] Clerical or [_] Professional. .

2. [KkSpecial or Select Committee: Authority—H. Res..__} 4 ___of $5 _ Congress.

3. CF] Joint Committee.

‘Statin ad ee dat as

(If Employee of an Officer:of the House, complete item below.)

ay,

dhe iMocbay ata baien beth an HS ot he Ge ad

iatiad his abate A CEE bt adele! Moan sha ads ha,

| iP teed

Position Number lf applicable, Level Step.

¥

_lscertify. that this. authorization: :is. not .in- violation ‘of °5--U.S.C. - 3110(b), : prohibiting the: employment . of
relatives.

“Gignature of Authorizing Official) |

Henry § 8. coneie

(Type or print name of Authorizing Official).

Chairman

All. appointments and-salary ‘adjustments for-employees ‘under. the: House’.Classification Act and for €ommittee em-

“s+ &i-ployees, except: those: of:.the. Committee:on: Appropriations, the ‘Committee: on: “the: Budget, ‘and the’. Joint Committees, “must”
“be approved by: the: Committee on House Administration: : aie ; a ; a

APPROVED:.

Chairman, Committee on-House Administration :

Office of Finance: use only: -

Office Code

L

Ww 88326 oe

| b : SB ._ Copy for-initiating Office.or Committee 2 - +: | me

eee nnn nee eee ee eee

PAYROLL AUTHORIZATION FORM. 7 oe a, —_

_- (Please: Use Typewriter — Ne U. Ss. HOUSE. OF REPRESENTATIVES ( Co (Any erasures,; -correétions,. or changes. ~
OBE Ballpoint Pen). oc 2 ~ Washingtan, 0:0. 20515 on ls Form ust e inated by the
To the Clerk othe House of Representatives: . ;
| hereby authorize the-following payroll action: | ee
Employee Name (First-Middle-Last) a of . Effective Date
_| Ane Furnald Taylor OWT? os .

of Employee Social Security Number — oo Type of Action -~

Employing Office or Committee oO Salary Adjustment

Setent Somstitese on Assassinations [-] Termination (At close of business c on effective dote)

(If Committee Employee, complete appropriate item‘below.) - i

1. [J Standing Committee: Staff—[_] Clerical or] Professional. a . ee

2. fe] Special. or “Select Committee: Authority — H, Res, $544 _ of Sts Congress,

3. [J Joint Committee. — 4
~ (If Employee of an Officer: of the House, complete item below.) =. _
_ Position Number... _ If applicable, Level. - Step. . a
2 . A

“1 certify: that this . authorization is- not in: - violation of: 5 U.S.C. 3110(b)> prohibiting the employmentof.-
relatives.

~

“(Signature of Authorizing Official)
Thomas si. Downine, Ceaainaan

(Type or print name of Authorizing Official)
- ~ Select Comittee on Assassinations .
~ (Title—If Member, District and State)

-All-appointments.and salary adjustments for employees«under the-House Classification Act.and for. Committee em-.

_ployées, except those of the-GCommittee. on Appropriations; the: Committee on-the Budget; and: 'therJoint ‘Committees, must

be approved by the Committee on House Administration.
s

APPROVED:

pot NIE NE NURI ee me oe mn en ee —

Chairman, Committee on House Administration

x . a

¢

~

Office of Finance use © only: -

_ Office Code. SL a :

. : ; . x) Appointment

NW 88326 (On

1d:32244105 Page 12 : os

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MEMORANDUM

TO . Alls State Employees ee
FROM: Budget Officer
DATE: “January 3, 1977 |

RE: — Payroll Certification |

“Starting with the January, 1977 payroll, the certification _

-to the House Finance Office requires, among other things, the -
relationship, if any, of each staff employee to any current
‘Member of Congress (those taking office January 3, 1977).

the following are _the relationships to be included in
the certification: Z

ofether = 0 _ nephew ee “prother-in-law
~ » mother | a -miece ss.  Sister-in-law |
son 7 husband = stepfather
“daughter . wife 5... stepmother.
2". brother = s—i‘<ié‘~S”*~é<‘ ;*é* father-in-law ts tepbrother

“ip sister | : ~. mother-in-law stepsister
—ounele 7 a son-in-law half-brother

-apunt 20 - daughter-in-law ss : half-sister

first cousin eS So

oe ve EE ae

All staff employees are requested to complete this. —
form and return it to the Budget officer. * :

- Approved —
“Richard A. Sprague ~_

-.I am not related _ Ww

“I am related by the following relationship

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